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Definitions

• Orexins are a family of homologous peptides including species orexin A, or OR- A, and orexin B, or OR-B.
• Orexin A is a 33 amino acid peptide and orexin B is a 28 amino acid peptide (Sakurai T. et al, Cell (1998), 92, 573-585).
• Orexins are produced in neurons of the lateral hypothalamus and bind to at least two distinct G-protein-coupled receptors, termed OXi and OX 2 receptors. The OXi receptor is selective for OR- A, while the OX 2 receptor can bind both OR- A and OR-B.
• Orexins are found to stimulate food consumption, regulate states of sleep and wakefulness, and may be involved in neural mechanisms of drug abuse and addiction.
• the application pr ides a compound of Formula (I):
• X is NR 4 or O
• R 1 is a monocyclic or bicyclic heteroaryl group, wherein R 1 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, haloalkyl, halo, -OH, -O-alkyl, -CN, -NR a R b , -N(R a )C(0) alkyl, -N(R a )C0 2 alkyl
• R a and R b are each independently H or alkyl
• R 2 is phenyl or a monocyclic heteroaryl, wherein R 2 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, haloalkyl, cycloalkyl, halo, -OH, -O-alkyl, -CN, -NR c R d , -N(R a )C(0) alkyl, - N(R c )C0 2 alkyl, -N(R c )S0 2 alkyl, -C(0)alkyl, -C0 2 H, -C0 2 alkyl, -CONR c R d , - S0 2 alkyl, and -S0 2 NR c R d ;
• R c and R d are each independently H or alkyl
• R 3 is phenyl or a monocyclic heteroaryl, wherein R 3 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, haloalkyl, halo, -OH, -O-alkyl, -CN, -NR e R f , -N(R e )C(0) alkyl, -N(R e )C0 2 alkyl, - N(R e )S0 2 alkyl, -C(0)alkyl, -C0 2 H, -C0 2 alkyl, -CONR e R f , -S0 2 alkyl, and -
• R e and R f are each independently H or alkyl
• R 4 is H or alkyl
• the compound of Formula (I) can be represented by Formula (I).
• R 10 is H or alkyl
• R la is a 6-membered heteroaryl, unsubstituted or substituted with alkyl, haloalkyl, or halo;
• the ring is defined as in (a), (b), or (c):
• each R 11 is independently selected from the group consisting of alkyl, cycloalkyl, -CN, halo, and alkoxy;
• t 0, 1, or 2;
• R 3a is phenyl or a monocyclic heteroaryl, unsubstituted or substituted with one or two
• the compound of Formula (I) or (II) is a compound selected from those species described or exemplified in the detailed description below.
• compositions comprising at least one compound of Formula (I) or (II) or a pharmaceutically acceptable salt thereof.
• Pharmaceutical compositions as described herein may further comprise a pharmaceutically acceptable excipient.
• a compound of Formula (I) or (II) or a pharmaceutically acceptable salt thereof for use as a medicament is also described herein.
• described herein are methods of treating a disease, disorder, or medical condition mediated by orexin receptor activity, such as those described herein, comprising administering to a subject in need of such treatment, such as a patient, an effective amount of at least one compound described herein or a pharmaceutically acceptable salt thereof in a dose, at a frequency, and for a duration to provide a beneficial effect to the subject.
• the orexin receptor can be OXi, or can be OX 2 .
• described herein is the use of a compound described herein, or a pharmaceutically acceptable salt thereof, in the preparation of a medicament for the treatment of diseases, disorders, and medical conditions regulated by orexin receptor activity, and the use of such compounds and salts for treatment of such diseases and medical conditions.
• described herein provides a method of treating a disease, disorder, or medial condition in a patient, comprising modulating an orexin receptor, wherein the modulating an orexin receptor comprises administering to the patient at least one compound of Formula (I) or (II), or a pharmaceutically acceptable salt thereof, in a dose, at a frequency, and for a duration to provide a beneficial effect to the patient.
• the disease, disorder, or medical condition is an eating disorder, obesity, alcoholism or an alcohol-related disorder, drug abuse or addiction, a sleep disorder, a cognitive dysfunction in a psychiatric or neurologic disorder, depression, anxiety, panic disorder, post-traumatic stress disorder, seasonal affective disorder, schizophrenia, Alzheimer's disease, Parkinson's disease, Huntington's chorea, headache, migraine, pain, gastrointestinal diseases, epilepsy, inflammations, immune-related diseases, ulcers, irritable bowel syndrome, diarrhea, gastroesophageal reflux, endocrine-related diseases, cancer, hypertension, behavior disorder, mood disorder, manic depression, dementia, sex disorder, psychosexual disorder, and renal disease.
• Drug abuse and addiction can include abuse of or addiction to cocaine, opiates, amphetamines, ethanol, cannabis/marijuana, or nicotine.
• described herein provides a method of modulating the activity of an orexin receptor, such as one or both of OXi or OX 2 , comprising contacting a cell comprising the orexin receptor with an effective amount of at least one compound described herein, or a pharmaceutically acceptable salt thereof.
• described herein is a method of modulating the activity of an orexin receptor, such as one or both of OXi or OX 2 , comprising contacting a cell comprising the orexin receptor with an effective amount of at least one compound of Formula (I) or (II), or a pharmaceutically acceptable salt thereof, and/or with at least one compound or pharmaceutical composition as described herein.
• the contacting is in vitro, ex vivo, or in vivo.
• the application provides a com ound of Formula (I):
• X is NR 4 , or O
• R 1 is a monocyclic or bicyclic heteroaryl, wherein R 1 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, such as Ci_ 4 alkyl, haloalkyl, such as Ci_ 4 haloalkyl, halo, -OH, -O-alkyl , such as -OCi_ 4 alkyl, -CN, -NR a R b , -N(R a )C(0)alkyl , such as -N(R a )C(0)Ci_ 4 alkyl, -N(R a )C0 2 alkyl, such as - N(R a )C0 2 Ci_ 4 alkyl, -N(R a )S0 2 Ci_ 4 alkyl, -C(0)alkyl, such as -C(0)C M alkyl, -C0 2 H, - C0 2 alkyl, such as -C
• R 2 is phenyl or a monocyclic heteroaryl, wherein R 2 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, such as Ci_ 4 alkyl, cycloalkyl, such as cyclopropyl, haloalkyl, such as Ci_ 4 haloalkyl, halo, -OH, -O- alkyl , such as -OCi_ 4 alkyl, -CN, -NR c R d , -N(R c )C(0) alkyl , such as -N(R c )C(0)Ci_ 4 alkyl, - N(R c )C0 2 alkyl, such as -N(R c )C0 2 Ci_ 4 alkyl, -N(R c )S0 2 alkyl, such as -N(R c )S0 2 Ci_ 4 alkyl, - C(0)alky
• R 3 is phenyl or a monocyclic heteroaryl, wherein R 3 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, such as Ci_ 4 alkyl, haloalkyl, such as Ci_ 4 haloalkyl, halo, -OH, -O-alkyl , such as -OCi_ 4 alkyl, -CN, -NR e R f , -N(R e )C(0) alkyl , such as -N(R e )C(0)Ci_ 4 alkyl, -N(R e )C0 2 alkyl, such as - N(R e )C0 2 Ci_ 4 alkyl, -N(R e )S0 2 Ci_ 4 alkyl, -C(0)alkyl, such as -C(0)Ci_ 4 alkyl, -C0 2 H, - C0 2 alkyl, such as
• R 4 is H or alkyl, such as Ci_ 4 alkyl.
• R 2 and R 3 when one of R 2 and R 3 is phenyl, the other is not phenyl, and when one of R 2 and R 3 is heteroaryl, the other is not heteroaryl;
• X is NR 4 .
• R 4 is H.
• X is NR 4 andR 4 is alkyl, such as Ci_ 4 alkyl.
• X is O.
• R 1 is a monocyclic heteroaryl, such as pyrazinyl, pyrimidinyl, thiadiazolyl, or pyridinyl.
• R 1 is pyrazinyl, pyrimidinyl, or pyridinyl, i.e., 2-pyrimidinyl or 2-pyridinyl.
• R 1 is a 6- membered heteroaryl, such as pyrazinyl, pyrimidinyl or pyridinyl.
• R 1 is a bicyclic heteroaryl, such as benzoxazolyl, i.e., 2-benzoxazolyl.
• R 1 is unsubstituted. In other embodiments, R 1 is substituted with one or more substituents independently selected from the group consisting of methyl, ethyl, propyl, isopropyl, butyl, -CF 3 , -CHF 2 , -CH 2 F, -F, -Br, -CI, -OH, methoxy, ethoxy, propoxy, -CN, -NH 2 , -NHCH 3 , -N(CH 3 ) 2 , -NH-acetyl, -NHC0 2 CH 3 , -NHS0 2 CH 3 , acetyl, - C0 2 H, -C0 2 CH 3 , -CONH 2 , -S0 2 CH 3 , and -S0 2 NHCH 3 .
• substituents independently selected from the group consisting of methyl, ethyl, propyl, isopropyl, butyl, -CF 3
• R 1 is substituted with one or more substituents independently selected from the group consisting of alkyl, such as methyl, haloalkyl, such as -CF 3 , and halo, such as -F, or -CI.
• R 1 is pyrimidinyl substituted with haloalkyl, such as -CF 3 , or halo, such as -CI. In certain such embodiments, R 1 is pyrimidinyl substituted with -CF 3 ,e.g., n certain such embodiments, R 1 is pyrimidinyl substituted with -Cl,e
• R 1 is pyridinyl, substituted with haloalkyl, such as -CF 3, e.g.,
• R 1 is benzoxazolyl, unsubstituted or substituted with halo, such as -CI or -F.
• R 2 is phenyl or a monocyclic heteroaryl, wherein R 2 is unsubstituted or substituted with one or more substituents independently selected from the group consisting of alkyl, such as Ci_ 4 alkyl, haloalkyl, such as Ci_ 4 haloalkyl, halo, -OH, -O- alkyl , such as -OC alkyl, -CN, -NR c R d , -N(R c )C(0) alkyl , such as -N(R c )C(0)Ci_ 4 alkyl, - N(R c )C0 2 alkyl, such as -N(R c )C0 2 Ci_ 4 alkyl, -N(R c )S0 2 alkyl, such as -N(R c )S0 2 Ci_ 4 alkyl, - C(0)alkyl, such as -C(0)C alkyl, -C(0)C al
• R 2 is phenyl. In other embodiments, R 2 is a monocyclic heteroaryl, such as pyridinyl or thiazolyl. In certain such embodiments, R 2 is a 5-membered heteroaryl, such as thiazolyl.
• R 2 is unsubstituted. In other embodiments, R 2 is substituted with one or more substituents independently selected from the group consisting of methyl, ethyl, propyl, isopropyl, cyclopropyl, butyl, -CF 3 , -CHF 2 , -CH 2 F, -F, -Br, -CI, -OH, methoxy, ethoxy, propoxy, -CN, -NH 2 , -NHCH 3 , -N(CH 3 ) 2 , -NH-acetyl, -NHC0 2 CH 3 , -NHS0 2 CH 3 , acetyl, -C0 2 H, -C0 2 CH 3 , -CONH 2 , -S0 2 CH 3 , and -S0 2 NHCH 3 .
• substituents independently selected from the group consisting of methyl, ethyl, propyl, isopropyl, cycl
• R 2 is substituted with one or more substituents independently selected from the group consisting of alkyl, such as methyl, haloalkyl, such as -CF 3 , -CN, and halo, such as -F, and -CI.
• R 2 is substituted with one or two methyl or fluoro groups, such as two methyl groups, two fluoro groups, or one fluoro group and one methyl group.
• R 2 is phenyl substituted with one or two alkyl, such as methyl, or halo, such as fluoro, groups.
• R 2 is phenyl substituted with two methyl groups, two fluoro groups, or one fluoro group and one methyl group.
• R 2 is thiazolyl substituted with alkyl, such as methyl.
• R 3 is phenyl. In other embodiments, R 3 is a monocyclic heteroaryl, such as triazolyl, pyrimidinyl, or pyrazolyl. In other embodiments, R 3 is a monocyclic heteroaryl, such as triazolyl, or pyrimidinyl. In certain such embodiments, R 3 is a 5-membered heteroaryl, such as triazolyl. In other such embodiments, R 3 is a 6-membered heteroaryl such as pyrimidinyl.
• R 3 is unsubstituted. In other embodiments, R 3 is substituted with one or more substituents independently selected from the group consisting of methyl, ethyl, propyl, isopropyl, butyl, -CF 3 , -CHF 2 , -CH 2 F, -F, -Br, -CI, -OH, methoxy, ethoxy, propoxy, -CN, -NH 2 , -NHCH 3 , -N(CH 3 ) 2 , -NH-acetyl, -NHC0 2 CH 3 , -NHS0 2 CH 3 , acetyl, - C0 2 H, -C0 2 CH 3 , -CONH 2 , -S0 2 CH 3 , and -S0 2 NHCH 3 .
• substituents independently selected from the group consisting of methyl, ethyl, propyl, isopropyl, butyl, -CF 3
• R 3 is substituted with one or more substituents independently selected from the group consisting of alkyl, such as methyl, haloalkyl, such as -CF 3 , and halo, such as -F, or -CI. In certain such embodiments, R 3 is substituted with fluoro.
• R 3 is phenyl substituted with fluoro, such as
• R 3 is unsubstituted triazolyl or pyrimidinyl.
• R 2 and R 3 when one of R 2 and R 3 is phenyl, the other is not phenyl. In certain embodiments, when one of R 2 and R 3 is heteroaryl, the other is not heteroaryl.
• compounds of Formula (I) are compounds and
• X is O or NR 4 , wherein R 4 is H; b) R 1 is pyridinyl, pyrimidinyl, or benzoxazolyl, each unsubstituted or substituted with haloalkyl, such as -CF 3 , or halo, such as -CI, or -F;
• R 2 is phenyl or thiazolyl, each unsubstituted or substituted with one or two groups independently selected from alkyl, such as methyl, and halo, such as -F (e.g., two methyl groups, two fluoro groups, or one fluoro group and one methyl group); and
• R 3 is phenyl, unsubstituted or substituted with halo, such as -F; or R 3 is unsubstituted triazolyl, pyrimidinyl, or pyrazolyl, such as triazolyl or pyrimidinyl.
• compounds of Formula (I) are compounds and
• X is O or NH
• R 1 is pyridinyl, pyrimidinyl, benzoxazolyl, pyrazinyl, or thiadiazolyl, such as pyridinyl, pyrimidinyl, benzoxazolyl, or pyrazinyl, each unsubstituted or substituted with haloalkyl, such as -CF 3 , or halo, such as -CI, or -F;
• R 2 is phenyl, pyridinyl, or thiazolyl, each unsubstituted or substituted with one or two groups independently selected from alkyl, such as methyl , halo, such as -F or -CI, haloalkyl, such as CF 3 , and CN; and
• R 3 is phenyl, unsubstituted or substituted with halo, such as -F; or R 3 is a unsubstituted triazolyl, pyrimidinyl, or pyrazolyl, such as triazolyl or pyrimidinyl.
• compounds of Formula (I) can be represented by Formula (II)
• R is H or alkyl, such as Ci_ 4 alkyl (e.g., methyl);
• R la is a 6-membered heteroaryl, unsubstituted or substituted with alkyl, such as Ci_ 4 alkyl, haloalkyl, such as Ci_ 4 haloalkyl, or halo, such as -CI, or -F;
• ring system is selected from the group consisting of (a), (b), and (c):
• each R 11 is independently selected from the group consisting of alkyl, such as
• Ci_ 4 alkyl e.g., methyl
• cycloalkyl such as cyclopropyl, -CN, halo, such as -CI or -F, and alkoxy, such as Ci_ 4 alkoxy (e.g., -OCH3)
• alkoxy such as Ci_ 4 alkoxy (e.g., -OCH3)
• t 0, 1, or 2;
• R 3a is phenyl or a monocyclic heteroaryl, unsubstituted or substituted with one or two substituents independently selected from the group consisting of alkyl, such as Ci_ 4 alkyl, alkoxy, such as Ci_ 4 alkoxy, halo, -CN, and haloalkyl, such as -CF 3 ;
• R 10 is H. In other embodiments, R 10 is alkyl, such as Ci_ 4 alkyl (e.g., methyl).
• R la is a pyrimidinyl or pyridinyl. In certain such
• R la is unsubstituted or substituted with alkyl, such as Ci_ 4 alkyl, haloalkyl, such as Ci_ 4 haloalkyl, or halo, such as chloro or fluoro.
• R la is a pyrimidinyl or pyridinyl substituted with haloalkyl, such as -
• the ring system is represented by
• the ring system ( a ) is represented byFormula
• each R 11 is independently selected from the group consisting of alkyl, such as Ci_ 4 alkyl (e.g., methyl), -CN, halo, such as -CI or -F, and alkoxy, such as Ci_ 4 alkoxy (e.g., -OCH3).
• each R 11 is independently selected from the group consisting of alkyl, such as methyl, halo, such as chloro or fluoro, and -CN.
• R 11 is independently selected from the group consisting of chloro and fluoro.
• t is 0. In other embodiments, t is 1. In yet other embodiments, t is 2.
• R 3a is optionally substituted phenyl. In other embodiments, R 3a is optionally substituted monocyclic heteroaryl. In some embodiments, R 3a is
• each R 3a is independently selected from the group consisting of alkyl, such as methyl, ethyl, or isopropyl, alkoxy, such as methoxy, halo, such as -F, and haloalkyl, such as -CF 3 .
• the ring system
• X 1 is CH, CR n ,or N and R 3a is as defined above. In some embodiments, X 1 1 . In other embodiments, X 1 is N. In other embodiments, the ring system i s represented by Formula
• R 101 and R 103 are alkyl, such as methyl, or halo, such as chloro, or fluoro; the other of R 101 and R 103 is H; R 102 is H, and R 3a is as defined above; or (b) R 102 is H or alkyl, such as chloro, or fluoro; and R 101 and R 103 are both H; and R 3a is as defined above.
• the compound of Formula (I) or (II) is represented by a compound in Table 1.
• Table 1 Compounds of Formulae I and II
• any formula depicted herein is intended to represent a compound of that structural formula as well as certain variations or forms.
• a formula given herein is intended to include a racemic form, or one or more enantiomeric, diastereomeric, or geometric isomers, or tautomeric forms, or a mixture thereof.
• any formula given herein is intended to refer also to a solvate, such as a hydrate, solvate, or polymorph of such a compound, or a mixture thereof.
• Any formula given herein is intended to refer to amorphous and/or crystalline physical forms of the compound.
• the compounds described herein may be analytically pure, or a mixture in which the compound comprises at least 50%, at least 70%, at least 80%, at least 90%, at least 95%, or at least 98% by weight of the mixture.
• subject refers to both mammals and non-mammals.
• Mammals include, for example, humans; non-human primates, e.g. apes and monkeys; and non-primates, e.g. mice, rats, rabbits, dogs, cats, cattle, horses, sheep, and goats.
• Non-mammals include, for example, worms, fish and birds.
• the subject is a human.
• substantially refers to being completely or almost completely; for example, a composition that is "substantially free” of a component either has none of the component or contains such a trace amount that any relevant functional property of the composition is unaffected by the presence of the trace amount, or a compound is "substantially pure” is there are only negligible traces of impurities present.
• acyl is art-recognized and refers to a group represented by the general formula hydrocarbylC(O)-, preferably alkylC(O)-.
• acylamino is art-recognized and refers to an amino group substituted with an acyl group and may be represented, for example, by the formula hydrocarbylC(0)NH-.
• acyloxy is art-recognized and refers to a group represented by the general formula hydrocarbylC(0)0-, preferably alkylC(0)0-.
• alkoxy refers to an alkyl group, preferably a lower alkyl group, having an oxygen attached thereto.
• Representative alkoxy groups include methoxy, ethoxy, propoxy, tert-butoxy and the like.
• alkoxyalkyl refers to an alkyl group substituted with an alkoxy group and may be represented by the general formula alkyl-O-alkyl.
• alkenyl refers to an aliphatic group containing at least one double bond and is intended to include both "unsubstituted alkenyls" and “substituted alkenyls", the latter of which refers to alkenyl moieties having substituents replacing a hydrogen on one or more carbons of the alkenyl group. Such substituents may occur on one or more carbons that are included or not included in one or more double bonds. Moreover, such substituents include all those contemplated for alkyl groups, as discussed below, except where stability is prohibitive. For example, substitution of alkenyl groups by one or more alkyl, carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is contemplated.
• alkynyl refers to an aliphatic group containing at least one triple bond and is intended to include both "unsubstituted alkynyls" and “substituted alkynyls", the latter of which refers to alkynyl moieties having substituents replacing one or more hydrogens on one or more carbons of the alkynyl group. Such substituents may occur on one or more carbons that are included or not included in one or more triple bonds.
• substituents include all those contemplated for alkyl groups, as discussed above, except where stability is prohibitive. For example, substitution of alkynyl groups by one or more alkyl, carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is contemplated.
• An "alkyl” group or “alkane” is a straight chained or branched non-aromatic hydrocarbon which is completely saturated. Typically, a straight chained or branched alkyl group has from 1 to about 20 carbon atoms, such as from 1 to 12 carbon atoms, preferably from 1 to about 10, more preferably from 1 to 4, unless otherwise defined.
• straight chained and branched alkyl groups include methyl, ethyl, n-propyl, isopropyl, n- butyl, isobutyl, sec-butyl, tert-butyl, pentyl, isopentyl, tert-pentyl, hexyl, isohexyl, pentyl and octyl.
• a Ci-C 6 straight chained or branched alkyl group is also referred to as a "lower alkyl" group.
• alkyl (or “lower alkyl) as used throughout the specification, examples, and claims is intended to include both “unsubstituted alkyls” and “substituted alkyls”, the latter of which refers to alkyl moieties having substituents replacing a hydrogen or more hydrogens on one or more carbons of the hydrocarbon backbone.
• Such substituents can include, for example, a halogen, a hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a formyl, or an acyl), a thiocarbonyl (such as a thioester, a thioacetate, or a thio formate), an alkoxyl, a phosphoryl, a phosphate, a phosphonate, a phosphinate, an amino, an amido, an amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a sulfonyl, a heterocyclyl, an aralkyl, or an aromatic or heteroaromatic moiety.
• a halogen
• the moieties substituted on the hydrocarbon chain can themselves be substituted, if appropriate.
• the substituents of a substituted alkyl may include substituted and unsubstituted forms of amino, azido, imino, amido, phosphoryl (including phosphonate and phosphinate), sulfonyl (including sulfate, sulfonamido, sulfamoyl and sulfonate), and silyl groups, as well as ethers, alkylthios, carbonyls (including ketones, aldehydes, carboxylates, and esters), -CF3, -CN and the like.
• Cycloalkyls can be further substituted with alkyls, alkenyls, alkoxys, alkylthios, aminoalkyls, carbonyl-substituted alkyls, -CF3, -CN, and the like.
• (ATOM)i_ j with j > i, when used in conjunction with a chemical moiety, such as, acyl, acyloxy, alkyl, alkenyl, alkynyl, or alkoxy is meant to include groups that contain from i to j (including i and j) atoms.
• C x _ y alkyl refers to substituted or unsubstituted saturated hydrocarbon groups, including straight-chain alkyl and branched-chain alkyl groups that contain from x to y carbons in the chain, including haloalkyl groups such as trifluoromethyl and 2,2,2-tirfluoroethyl, etc.
• Co alkyl refers to a hydrogen where the group is in a terminal position, a bond if internal.
• C 3 _ 6 cycloalkyl refers to a cycloalkyl as defined herein that has 3 to 6 carbon ring atoms.
• the terms "C 2 - y alkenyl” and “C 2 - y alkynyl” refer to substituted or unsubstituted unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond respectively.
• alkylamino refers to an amino group substituted with at least one alkyl group.
• alkylthio refers to a thiol group substituted with an alkyl group and may be represented by the general formula alkylS-.
• amine and “amino” are art-recognized and refer to both unsubstituted and substituted amines and salts thereof, e.g. , a moiety that can be represented by wherein each R 30 independently represents a hydrogen or a hydrocarbyl group, or two R 30 are taken together with the N atom to which they are attached complete a heterocycle having from 4 to 8 atoms in the ring structure.
• aminoalkyl refers to an alkyl group substituted with an amino group.
• amide refers to a group: , wherein each R 30 independently represent a hydrogen or hydrocarbyl group, or two R are taken together with the N atom to which they are attached complete a heterocycle having from 4 to 8 atoms in the ring structure.
• halogen represents chlorine, fluorine, bromine, or iodine.
• halo represents chloro, fluoro, bromo, or iodo.
• haloalkyl refers to an alkyl group with one or more halo substituents, or one, two, or three halo substituents.
• haloalkyl groups include -CF 3 , -(CH 2 )F, - CHF 2 , -CH 2 Br, -CH 2 CF 3 , and -CH 2 CH 2 F.
• aryl as used herein include substituted or unsubstituted single-ring aromatic groups in which each atom of the ring is carbon.
• the ring is a 5- to 7- membered ring, more preferably a 6-membered ring.
• aryl also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings wherein at least one of the rings is aromatic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls.
• Aryl groups include benzene, naphthalene, phenanthrene, phenol, aniline, and the like.
• aralkyl refers to an alkyl group substituted with an aryl group.
• heteroaryl refers to a monocyclic, fused bicyclic, or fused polycyclic aromatic heterocycle, having from 3 to 12 ring atoms per heterocycle, in which the ring atoms or members are selected from carbon atoms and up to four heteroatoms selected from nitrogen, oxygen, and sulfur.
• ring atoms or members are selected from carbon atoms and up to four heteroatoms selected from nitrogen, oxygen, and sulfur.
• heteroaryl groups include the following entities, in the form of properly bonded moieties:
• a "monocyclic" heteroaryl is an aromatic five- or six-membered heterocycle.
• a five- membered heteroaryl contains up to four heteroatom ring atoms, where (a) one ring atom is oxygen or sulfur and zero, one, or two ring atoms are nitrogen, or (b) zero ring atoms are oxygen or sulfur and up to four ring atoms are nitrogen.
• a five- membered heteroaryl is furan, thiophene, pyrrole, oxazole, isoxazole, thiazole, isothiazole, pyrazole, imidazole, oxadiazole, thiadiazole, triazole, or tetrazole.
• a six-membered heteroaryl contains one, two, or three nitrogen ring atoms.
• a six- membered heteroaryl is pyridine, pyrazine, pyrimidine, pyridazine, or triazine.
• heteroatom refers to an atom of any element other than carbon or hydrogen.
• exemplary heteroatoms are nitrogen, oxygen, and sulfur.
• heterocyclyl refers to substituted or unsubstituted non-aromatic ring structures, preferably 3- to 10-membered rings, more preferably 3- to 7-membered rings, whose ring structures include at least one heteroatom, preferably one to four heteroatoms, more preferably one or two heteroatoms.
• heterocyclyl and “heterocyclic” also include polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings wherein at least one of the rings is heterocyclic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls.
• Heterocyclyl groups include, for example, piperidine, piperazine, pyrrolidine, morpholine, lactones, lactams, and the like.
• heterocyclylalkyl refers to an alkyl group substituted with a heterocycle group.
• Hydrocarbyl groups include, but are not limited to aryl, heteroaryl, carbocycle, heterocyclyl, alkyl, alkenyl, alkynyl, and combinations thereof.
• R 29 and R 30 independently represent hydrogen or a hydrocarbyl group, such as an alkyl
• carbocycle refers to a saturated or unsaturated ring in which each atom of the ring is carbon.
• carbocycle includes both aromatic carbocycles and non-aromatic carbocycles.
• Non-aromatic carbocycles include both cycloalkane rings, in which all carbon atoms are saturated, and cycloalkene rings, which contain at least one double bond.
• Carbocycle includes 5-7 membered monocyclic and 8-12 membered bicyclic rings. Each ring of a bicyclic carbocycle may be selected from saturated, unsaturated and aromatic rings.
• Carbocycle includes bicyclic molecules in which one, two or three or more atoms are shared between the two rings.
• the term "fused carbocycle” refers to a bicyclic carbocycle in which each of the rings shares two adjacent atoms with the other ring.
• Each ring of a fused carbocycle may be selected from saturated, unsaturated and aromatic rings.
• an aromatic ring e.g., phenyl
• an aromatic ring e.g., phenyl
• a saturated or unsaturated ring e.g., cyclohexane, cyclopentane, or cyclohexene. Any combination of saturated, unsaturated and aromatic bicyclic rings, as valence permits, is included in the definition of carbocyclic.
• Carbocycles include cyclopentane, cyclohexane, bicyclo[2.2.1]heptane, 1,5-cyclooctadiene, 1,2,3,4-tetrahydronaphthalene, bicyclo[4.2.0]oct-3-ene, naphthalene and adamantane.
• Exemplary fused carbocycles include decalin, naphthalene, 1,2,3,4-tetrahydronaphthalene, bicyclo[4.2.0]octane, 4,5,6,7-tetrahydro- lH-indene and bicyclo[4.1.0]hept-3-ene.
• Carbocycles may be susbstituted at any one or more positions capable of bearing a hydrogen atom.
• a "cycloalkyl” group is a cyclic hydrocarbon which is completely saturated.
• Cycloalkyl includes monocyclic and bicyclic rings. Typically, a monocyclic cycloalkyl group has from 3 to about 10 carbon atoms, more typically 3 to 8 carbon atoms unless otherwise defined.
• the second ring of a bicyclic cycloalkyl may be selected from saturated, unsaturated and aromatic rings. Cycloalkyl includes bicyclic molecules in which one, two or three or more atoms are shared between the two rings.
• the term “fused cycloalkyl” refers to a bicyclic cycloalkyl in which each of the rings shares two adjacent atoms with the other ring.
• the second ring of a fused bicyclic cycloalkyl may be selected from saturated, unsaturated and aromatic rings.
• a "cycloalkenyl” group is a cyclic hydrocarbon containing one or more double bonds.
• heterocyclyl refers to substituted or unsubstituted non-aromatic ring structures, preferably 3- to 10-membered rings, more preferably 3- to 7-membered rings, whose ring structures include at least one heteroatom, preferably one to four heteroatoms, more preferably one or two heteroatoms.
• heterocyclyl and “heterocyclic” also include polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings wherein at least one of the rings is heterocyclic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls.
• Heterocyclyl groups include, for example, piperidine, piperazine, pyrrolidine, morpholine, lactones, lactams, and the like.
• polycyclyl refers to two or more rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls) in which two or more atoms are common to two adjoining rings, e.g., the rings are "fused rings".
• Each of the rings of the polycycle can be substituted or unsubstituted.
• each ring of the polycycle contains from 3 to 10 atoms in the ring, preferably from 5 to 7.
• Carbocyclylalkyl refers to an alkyl group substituted with a carbocycle group.
• carbonate is art-recognized and refers to a group -OCO 2 -R 30 , wherein R 30 represents a hydrocarbyl group.
• esters refers to a group -C(0)OR 30 wherein R 30 represents a hydrocarbyl group.
• ether refers to a hydrocarbyl group linked through an oxygen to another hydrocarbyl group. Accordingly, an ether substituent of a hydrocarbyl group may be hydrocarbyl-O-. Ethers may be either symmetrical or unsymmetrical.
• ethers include, but are not limited to, heterocycle-O-heterocycle and aryl-O- heterocycle.
• Ethers include "alkoxyalkyl” groups, which may be represented by the general formula alkyl-O-alkyl.
• substituted refers to moieties having substituents replacing one or more hydrogens on one or more carbons of the backbone. It will be understood that “substitution” or “substituted with” includes the implicit proviso that such substitution is in accordance with permitted valence of the substituted atom and the substituent, and that the substitution results in a stable compound, e.g., which does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc. As used herein, the term “substituted” is contemplated to include all permissible substituents of organic compounds.
• the permissible substituents include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic, aromatic and non-aromatic substituents of organic compounds.
• the permissible substituents can be one or more and the same or different for appropriate organic compounds.
• the heteroatoms such as nitrogen may have hydrogen substituents and/or any permissible substituents of organic compounds described herein which satisfy the valences of the heteroatoms.
• substituted means that the specified group or moiety bears one, two, or three substituents.
• substituted means that the specified group or moiety bears one or two substituents.
• substituted refers to the specified group or moiety bears one substituent.
• Substituents can include any substituents described herein, for example, a halogen, a hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a formyl, or an acyl), a thiocarbonyl (such as a thioester, a thioacetate, or a thioformate), an alkoxyl, a phosphoryl, a phosphate, a phosphonate, a phosphinate, an amino, an amido, an amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a sulfonyl, a heterocyclyl, an aralkyl, or an aromatic or heteroaromatic mo
• sulfate is art-recognized and refers to the group -OSO3H, or a
• R 29 and R 30 independently represents hydrogen or hydrocarbyl, such as alkyl, or R 29 and R 30 taken together with the intervening atom(s) complete a heterocycle having from 4 to 8 atoms in the ring structure.
• sulfoxide is art-recognized and refers to the group -S(0)-R 30 , wherein R 3( represents a hydrocarbyl.
• sulfonate is art-recognized and refers to the group SO 3 H, or a
• sulfone is art-recognized and refers to the group -S(0)2-R 3 °, wherein R 30 represents a hydrocarbyl.
• thioalkyl refers to an alkyl group substituted with a thiol group.
• thioester refers to a group -C(0)SR or -SC(0)R wherein R 30 represents a hydrocarbyl.
• thioether is equivalent to an ether, wherein the oxygen is replaced with asulfur.
• urea is art-recognized and may be represented by the general formula
• R 29 and R 30 independently represent hydrogen or a hydrocarbyl, such as alkyl, or either occurrence of R 29 taken together with R 30 and the intervening atom(s) complete a heterocycle having from 4 to 8 atoms in the ring structure.
• Protecting group refers to a group of atoms that, when attached to a reactive functional group in a molecule, mask, reduce or prevent the reactivity of the functional group. Typically, a protecting group may be selectively removed as desired during the course of a synthesis. Examples of protecting groups can be found in Greene and Wuts, Protective Groups in Organic Chemistry, 3 rd Ed., 1999, John Wiley & Sons, NY and Harrison et al, Compendium of Synthetic Organic Methods, Vols. 1-8, 1971-1996, John Wiley & Sons, NY.
• nitrogen protecting groups include, but are not limited to, formyl, acetyl, trifluoroacetyl, benzyl, benzyloxycarbonyl (“CBZ”), tert-butoxycarbonyl (“Boc”), trimethylsilyl (“TMS”), 2-trimethylsilyl-ethanesulfonyl (“TES”), trityl and substituted trityl groups, allyloxycarbonyl, 9-fluorenylmethyloxycarbonyl (“FMOC”), nitro- veratryloxycarbonyl (“NVOC”) and the like.
• hydroxylprotecting groups include, but are not limited to, those where the hydroxyl group is either acylated (esterified) or alkylated such as benzyl and trityl ethers, as well as alkyl ethers, tetrahydropyranyl ethers, trialkylsilyl ethers ⁇ e.g., TMS or TIPS groups), glycol ethers, such as ethylene glycol and propylene glycol derivatives and allyl ethers.
• any disubstituent referred to herein is meant to encompass the various attachment possibilities when more than one of such possibilities are allowed.
• the application also includes pharmaceutically acceptable salts of the compounds represented by Formula (I) or (II), preferably of those described above and of the specific compounds exemplified herein, and pharmaceutical compositions comprising such salts, and methods of using such salts.
• a “pharmaceutically acceptable salt” is intended to mean a salt of a free acid or base of a compound represented herein that is non-toxic, biologically tolerable, or otherwise biologically suitable for administration to the subject. See, generally, S.M. Berge, et al, "Pharmaceutical Salts," J. Pharm. Sci., 1977, 66, 1-19.
• Preferred pharmaceutically acceptable salts are those that are pharmacologically effective and suitable for contact with the tissues of subjects without undue toxicity, irritation, or allergic response.
• a compound described herein may possess a sufficiently acidic group, a sufficiently basic group, both types of functional groups, or more than one of each type, and accordingly react with a number of inorganic or organic bases, and inorganic and organic acids, to form a
• Examples of pharmaceutically acceptable salts include sulfates, pyrosulfates, bisulfates, sulfites, bisulfites, phosphates, monohydrogen-phosphates, dihydrogenphosphates, metaphosphates, pyrophosphates, chlorides, bromides, iodides, acetates, propionates, decanoates, caprylates, acrylates, formates, isobutyrates, caproates, heptanoates, propiolates, oxalates, malonates, succinates, suberates, sebacates, fumarates, maleates, butyne-l,4-dioates, hexyne-l,6-dioates, benzoates, chlorobenzoates, methylbenzoates, dinitrobenzoates, hydroxybenzoates, methoxybenzoates, phthalates, sulfonates, methylsulfonates,
• propylsulfonates besylates, xylenesulfonates, naphthalene- 1 -sulfonates, naphthalene-2- sulfonates, phenylacetates, phenylpropionates, phenylbutyrates, citrates, lactates, ⁇ - hydroxybutyrates, glycolates, tartrates, and mandelates. Lists of other suitable
• a pharmaceutically acceptable salt may be prepared by any suitable method available in the art, for example, treatment of the free base with an inorganic acid, such as hydrochloric acid, hydrobromic acid, sulfuric acid, sulfamic acid, nitric acid, boric acid, phosphoric acid, and the like, or with an organic acid, such as acetic acid, phenylacetic acid, propionic acid, stearic acid, lactic acid, ascorbic acid, maleic acid, hydroxymaleic acid, isethionic acid, succinic acid, valeric acid, fumaric acid, malonic acid, pyruvic acid, oxalic acid, glycolic acid, salicylic acid, oleic acid, palmitic acid, lauric acid, a pyranosidyl acid, such as glucuronic acid or galacturonic acid, an alpha-hydroxy acid, such as mandelic acid, citric acid, or tartaric acid, an inorganic acid, such as hydrochloric acid,
• the application also relates to pharmaceutically acceptable prodrugs of the
• prodrug is intended to encompass compounds which, under physiologic conditions, are converted into the therapeutically active agents of the present application, e.g., a compound of described herein.
• a common method for making a prodrug is to include one or more selected moieties which are hydrolyzed under physiologic conditions to yield the desired molecule.
• the prodrug is converted by an enzymatic activity of the host animal. For example, a prodrug with a nitro group on an aromatic ring could be reduced by reductase to generate the desired amino group of the corresponding active compound in vivo.
• hydroxyl, carbonate, or carboxylic acid in the parent compound are presented as an ester, which could be cleaved by esterases.
• amine groups in the parent compounds are presented in, but not limited to, carbamate, N-alkylated or N-acylated forms (Simplicio et al, "Prodrugs for Amines," Molecules, (2008), 13:519-547).
• some or all of the compounds of described herein in a formulation represented above can be replaced with the corresponding suitable prodrug.
• a “pharmaceutically acceptable prodrug” is a prodrug that is non-toxic, biologically tolerable, and otherwise biologically suitable for administration to the subject. Illustrative procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in “Design of Prodrugs", ed. H. Bundgaard, Elsevier, 1985. The present application also relates to pharmaceutically active metabolites of compounds described herein, and uses of such metabolites in the methods of the application.
• a “pharmaceutically active metabolite” refers to a pharmacologically active product of metabolism/biochemical modification of a compound described herein, e.g., a compound of of Formula (I) or (II) or salt thereof, under physiological conditions.
• Prodrugs and active metabolites of a compound may be determined using routine techniques known or available in the art. See, e.g., Bertolini et al, J. Med. Chem. 1997, 40, 2011-2016; Shan et al, J.
• a “hydrate” is a compound that exists in a composition with water molecules.
• the composition can include water in stoichiometic quantities, such as a monohydrate or a dihydrate, or can include water in random amounts.
• a “solvate” is a similar composition except that a solvent other that water, such as with methanol, ethanol, dimethylformamide, and the like replaces the water.
• methanol or ethanol can form an "alcoholate,”" which can again be stoichiometic or non-stoichiometric.
• Mixtures of such solvates or hydrates can also be prepared.
• the source of such solvate or hydrate can be from the solvent of crystallization, inherent in the solvent of preparation or crystallization, or adventitious to such solvent
• isolated compound refers to a preparation of a compound of formula (I) or (II), or a mixture of compounds according to formula (I) or (II), wherein the isolated compound has been separated from the reagents used, and/or byproducts formed, in the synthesis of the compound or compounds. "Isolated” does not mean that the preparation is technically pure (homogeneous), but it is sufficiently pure to compound in a form in which it can be used therapeutically.
• an "isolated compound” refers to a preparation of a compound of formula (I) or (II) or a mixture of compounds according to formula (I) or (II), which contains the named compound or mixture of compounds according to formula (I) or (II) in an amount of at least 10 percent by weight of the total weight.
• the preparation contains the named compound or mixture of compounds in an amount of at least 50% by weight of the total weight; more preferably at least 80% by weight of the total weight; and most preferably at least 90%>, at least 95% or at least 98% by weight of the total weight of the preparation.
• the compounds of the application and intermediates may be isolated from their reaction mixtures and purified by standard techniques such as filtration, liquid-liquid extraction, solid phase extraction, distillation, recrystallization or chromatography, including flash column chromatography, or HPLC.
• a compound described herein or a salt thereof may exhibit the phenomenon of tautomerism whereby two chemical compounds that are capable of facile interconversion by exchanging a hydrogen atom between two atoms, to either of which it forms a covalent bond. Since the tautomeric compounds exist in mobile equilibrium with each other they may be regarded as different isomeric forms of the same compound. It is to be understood that the formulae drawings within this specification can represent only one of the possible tautomeric forms. However, it is also to be understood that the application encompasses any tautomeric form, and is not to be limited merely to any one tautomeric form utilized within the formulae drawings.
• Such tautomerism can also occur with substituted pyrazoles such as 3 -methyl, 5- methyl, or 3,5-dimethylpyrazoles, and the like.
• Another example of tautomerism is amido- imido (lactam-lactim when cyclic) tautomerism, such as is seen in heterocyclic compounds bearing a ring oxygen atom adjacent to a ring nitrogen atom.
• the equilibrium is an example of tautomerism. Accordingly, a structure depicted herein as one tautomer is intended to also include the other tautomer.
• the isomers resulting from the presence of a chiral center comprise a pair of non-superimposable isomers that are called "enantiomers.”
• Single enantiomers of a pure compound are optically active, i.e., they are capable of rotating the plane of plane polarized light.
• Single enantiomers are designated according to the Cahn-Ingold-Prelog system.
• the priority of substituents is ranked based on atomic weights, a higher atomic weight, as determined by the systematic procedure, having a higher priority ranking. Once the priority ranking of the four groups is determined, the molecule is oriented so that the lowest ranking group is pointed away from the viewer.
• the present application is meant to encompass diastereomers as well as their racemic and resolved, diastereomerically and enantiomerically pure forms and salts thereof.
• Diastereomeric pairs may be resolved by known separation techniques including normal and reverse phase chromatography, and crystallization.
• the therapeutic preparation may be enriched to provide predominantly one enantiomer of a compound (e.g., of formula (I) or (II)).
• enantiomerically enriched mixture may comprise, for example, at least 60 mol percent of one enantiomer, or more preferably at least 75, 90, 95, or even 99 mol percent.
• a compound of the invention may have greater than 30% ee, 40%> ee, 50%> ee, 60%) ee, 70%) ee, 80%> ee, 90%> ee, or even 95% or greater ee.
• the compound enriched in one enantiomer is substantially free of the other enantiomer, wherein substantially free means that the substance in question makes up less than 10%, or less than 5%), or less than 4%, or less than 3%, or less than 2%, or less than 1% as compared to the amount of the other enantiomer, e.g., in the composition or compound mixture.
• substantially free means that the substance in question makes up less than 10%, or less than 5%), or less than 4%, or less than 3%, or less than 2%, or less than 1% as compared to the amount of the other enantiomer, e.g., in the composition or compound mixture.
• a composition or compound mixture contains 98 grams of a first enantiomer and 2 grams of a second enantiomer, it would be said to contain 98 mol percent of the first enantiomer and only 2% of the second enantiomer.
• compounds of the application may have more than one stereocenter. In certain such embodiments, compounds of the application may be enriched in one or more diastereomer. For example, a compound of the application may have greater than 30% de, 40% de, 50% de, 60% de, 70% de, 80% de, 90% de, or even 95% or greater de.
• Isolated optical isomers may be purified from racemic mixtures by well-known chiral separation techniques. According to one such method, a racemic mixture of a compound of the application, or a chiral intermediate thereof, is separated into 99% wt.% pure optical isomers by HPLC using a suitable chiral column, such as a member of the series of
• DAICEL ® CHIRALPAK ® family of columns (Daicel Chemical Industries, Ltd., Tokyo, Japan). The column is operated according to the manufacturer's instructions.
• Isolated optical isomers can also be prepared by the use of chiral intermediates or catalysts in synthesis.
• the optical center chiral center
• Chiral catalyst can be used to impart at least some degree of enantiomeric purity to products of reactions catalyzed by the chiral catalyst.
• compounds having at least some degree of enantiomeric enrichment can be obtained by physical processes such as selective
• a variety of compounds in the present application may exist in particular geometric or stereoisomeric forms.
• the present application takes into account all such compounds, including tautomers, cis- and trans-isomers, R- and S-enantiomers, diastereomers, (D)- isomers, (L)-isomers, the racemic mixtures thereof, and other mixtures thereof, as being covered within the scope of this application. All tautomeric forms are encompassed in the present application. Additional asymmetric carbon atoms may be present in a substituent such as an alkyl group. All such isomers, as well as mixtures thereof, are intended to be included in this application, unless the stereochemistry or isomeric form is specifically indicated.
• the preferred compounds of the present application have a particular spatial arrangement of substituents on the aromatic rings, which are related to the structure activity relationship demonstrated by the compound class. Often such substitution arrangement is denoted by a numbering system; however, numbering systems are often not consistent between different ring systems. In six-membered aromatic systems, the spatial arrangements are specified by the common nomenclature "para” for 1 ,4-substitution, "meta" for
• the present application further includes all pharmaceutically acceptable isotopically labeled compound (e.g., of formula (I) or (II)).
• An “isotopically” or “radio-labelled” compound is a compound where one or more atoms are replaced or substituted by an atom having an atomic mass or mass number different from the atomic mass or mass number typically found in nature (i.e., naturally occurring).
• hydrogen atoms are replaced or substituted by one or more deuterium or tritium (e.g., hydrogen atoms on a Ci_ 6 alkyl or a Ci_ 6 alkoxy are replaced with deuterium, such as ⁇ i 3 -methoxy or 1 , 1 ,2,2- ⁇ i4-3-methylbutyl).
• deuterium or tritium e.g., hydrogen atoms on a Ci_ 6 alkyl or a Ci_ 6 alkoxy are replaced with deuterium, such as ⁇ i 3 -methoxy or 1 , 1 ,2,2- ⁇ i4-3-methylbutyl.
• isotopically labeled compounds e.g., compounds of formula (I) or (II)
• compounds of formula (I) or (II) for example, those incorporating a radioactive isotope
• the radioactive isotopes tritium, i.e. 3 H, and carbon 14, i.e., 14 C, are particularly useful for this purpose in view of their ease of incorporation and ready means of detection.
• Such isotopically labelled compounds are useful in metabolic studies (preferably with 14 C), reaction kinetic studies (with, for example 2 H or 3 H), detection or imaging techniques [such as positron emission tomography (PET) or single-photon emission computed tomography (SPECT)] including drug or substrate tissue distribution assays, or in radioactive treatment of patients.
• detection or imaging techniques such as positron emission tomography (PET) or single-photon emission computed tomography (SPECT)
• PET positron emission tomography
• SPECT single-photon emission computed tomography
• substitution with heavier isotopes such as deuterium (i.e., 2 H) may afford certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements.
• Isotopically labelled compounds e.g., of formula (I) or (II)
• prodrugs can generally be prepared by conventional techniques known to those skilled in the art or by processes analogous to those described in the accompanying examples using an appropriate isotopically labelled reagent in place of the non-labelled reagent previously employed.
• Suitable isotopes that may be incorporated in compounds of the present application include but are not limited to isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, fluorine, chlorine, and iodine, such as 2 H (also written as D for deuterium), 3 H (also written as T for tritium), n C, 13 C, 14 C, 13 N, 15 N, 15 0, 17 0, 18 0, 18 F, 35 S, 36 C1 , 82 B r, 75 Br, 76 B r, 77 Br, 123 I, 124 I, 125 I, 131 1, 31 P, and 32 P.
• isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, fluorine, chlorine, and iodine such as 2 H (also written as D for deuterium), 3 H (also written as T for tritium), n C, 13 C, 14 C, 13 N, 15 N, 15 0, 17 0, 18 0, 18 F, 35 S, 36 C1 , 82 B r, 75 Br
• Isotopically labeled compounds of this application and prodrugs thereof can generally be prepared by carrying out the procedures disclosed in the schemes or in the examples and preparations described below by substituting a readily available isotopically labeled reagent for a non-isotopically labeled reagent.
• Provisos may apply to any of the disclosed categories or embodiments such that specific embodiments or species may be excluded from such categories or embodiments.
• the compound or set of compounds, such as are used in the inventive methods can be any one of any of the combinations and/or sub-combinations of the above-listed embodiments.
• compositions and methods of the present application may be utilized to treat a subject, , such as a mammal, e.g., human, or a non-human mammal, in need thereof.
• a subject such as a mammal, e.g., human
• the composition or the compound is preferably administered as a pharmaceutical composition comprising, for example, a compound of the application and a pharmaceutically acceptable carrier.
• compositions include, for example, aqueous solutions such as water or physiologically buffered saline or other solvents or vehicles such as glycols, glycerol, oils such as olive oil, or injectable organic esters.
• aqueous solutions such as water or physiologically buffered saline or other solvents or vehicles such as glycols, glycerol, oils such as olive oil, or injectable organic esters.
• the aqueous solution is pyrogen-free, or substantially pyrogen-free.
• the excipients can be chosen, for example, to effect delayed release of an agent or to selectively target one or more cells, tissues or organs.
• the pharmaceutical composition can be in dosage unit form such as tablet, capsule (including sprinkle capsule and gelatin capsule), granule, lyophile for reconstitution, powder, solution, syrup, suppository, injection or the like.
• the composition can also be present in a transdermal delivery system, e.g. , a skin patch.
• the composition can also be present in a solution suitable for topical administration, such as an eye drop.
• a pharmaceutically acceptable carrier can contain physiologically acceptable agents that act, for example, to stabilize, increase solubility or to increase the absorption of a compound such as a compound of the application.
• physiologically acceptable agents include, for example, carbohydrates, such as glucose, sucrose or dextrans, antioxidants, such as ascorbic acid or glutathione, chelating agents, low molecular weight proteins or other stabilizers or excipients.
• the choice of a pharmaceutically acceptable carrier, including a physiologically acceptable agent depends, for example, on the route of administration of the composition.
• the preparation or pharmaceutical composition can be a selfemulsifying drug delivery system or a selfmicroemulsifying drug delivery system.
• the pharmaceutical composition also can be a liposome or other polymer matrix, which can have incorporated therein, for example, a compound of the application.
• Liposomes for example, which comprise phospholipids or other lipids, are nontoxic, physiologically acceptable and metabolizable carriers that are relatively simple to make and administer.
• phrases "pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.
• pharmaceutically acceptable carrier refers to a pharmaceutically acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient.
• materials which can serve as pharmaceutically acceptable carriers include: (1) sugars, such as lactose, glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8) excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10) glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; (12) esters, such as ethyl oleate and ethyl laurate; (13) agar; (14) buffering agents, such as magnesium hydroxide and aluminum hydroxide;
• a pharmaceutical composition can be administered to a subject by any of a number of routes of administration including, for example, orally (for example, drenches as in aqueous or non-aqueous solutions or suspensions, tablets, capsules (including sprinkle capsules and gelatin capsules), boluses, powders, granules, pastes for application to the tongue); absorption through the oral mucosa (e.g., sublingually); anally, rectally or vaginally (for example, as a pessary, cream or foam); parenterally (including intramuscularly, intravenously, subcutaneously or intrathecally as, for example, a sterile solution or suspension); nasally; intraperitoneally; subcutaneously; transdermally (for example as a patch applied to the skin); and topically (for example, as a cream, ointment or spray applied to the skin, or as an eye drop).
• routes of administration including, for example, orally (for example, drenches as in aqueous or
• the compound may also be formulated for inhalation.
• a compound may be simply dissolved or suspended in sterile water. Details of appropriate routes of administration and compositions suitable for same can be found in, for example, U.S. Pat. Nos. 6,1 10,973, 5,763,493, 5,731 ,000, 5,541 ,231 , 5,427,798, 5,358,970 and 4,172,896, as well as in patents cited therein.
• the compounds of the application can also exist as various polymorphs, pseudo-polymorphs, or in amorphous state.
• polymorph refers to different crystalline forms of the same compound and other solid state molecular forms including pseudo-polymorphs, such as hydrates, solvates, or salts of the same compound.
• pseudo-polymorphs such as hydrates, solvates, or salts of the same compound.
• Different crystalline polymorphs have different crystal structures due to a different packing of molecules in the lattice, as a result of changes in temperature, pressure, or variations in the crystallization process. Polymorphs differ from each other in their physical properties, such as x-ray diffraction characteristics, stability, melting points, solubility, or rates of dissolution in certain solvents.
• crystalline polymorphic forms are important aspects in the development of suitable dosage forms in pharmaceutical industry.
• compositions are also contemplated by the application, including compositions that are in accord with national and local regulations governing such compositions.
• compositions and compounds described herein may be formulated as solutions, emulsions, suspensions, or dispersions in suitable pharmaceutical solvents or carriers, or as pills, tablets, lozenges, suppositories, sachets, dragees, granules, powders, powders for reconstitution, or capsules along with solid carriers according to conventional methods known in the art for preparation of various dosage forms.
• compositions of the application may be administered by a suitable route of delivery, such as oral, parenteral, rectal, nasal, topical, or ocular routes, or by inhalation.
• a suitable route of delivery such as oral, parenteral, rectal, nasal, topical, or ocular routes, or by inhalation.
• the compositions are formulated for intravenous or oral administration.
• the compounds the application may be provided in a solid form, such as a tablet or capsule, or as a solution, emulsion, or suspension.
• the compounds of the application may be formulated to yield a dosage of, e.g., from about 0.1 mg to about 2 g daily, or about 1 mg to about 1 g daily, or about 1 mg to about 50 mg daily, or about 10 mg to about 50 mg daily, or about 50 to about 250 mg daily, or about 250 mg to about 1 g daily.
• Oral tablets may include the active ingredient(s) mixed with compatible pharmaceutically acceptable excipients such as diluents, disintegrating agents, binding agents, lubricating agents, sweetening agents, flavoring agents, coloring agents and preservative agents.
• Suitable inert fillers include sodium and calcium carbonate, sodium and calcium phosphate, lactose, starch, sugar, glucose, methyl cellulose, magnesium stearate, mannitol, sorbitol, and the like.
• Exemplary liquid oral excipients include ethanol, glycerol, water, and the like.
• Starch, polyvinyl-pyrrolidone (PVP), sodium starch glycolate, microcrystalline cellulose, and alginic acid are exemplary disintegrating agents.
• Binding agents may include starch and gelatin.
• the lubricating agent if present, may be magnesium stearate, stearic acid, or talc. If desired, the tablets may be coated with a material such as glyceryl monostearate or glyceryl distearate to delay absorption in the gastrointestinal tract, or may be coated with an enteric coating.
• Capsules for oral administration include hard and soft gelatin capsules.
• active ingredient(s) may be mixed with a solid, semi-solid, or liquid diluent.
• Soft gelatin capsules may be prepared by mixing the active ingredient with water, an oil such as peanut oil or olive oil, liquid paraffin, a mixture of mono and di-glycerides of short chain fatty acids, polyethylene glycol 400, or propylene glycol.
• Liquids for oral administration may be in the form of suspensions, solutions, emulsions, or syrups, or may be lyophilized or presented as a dry product for reconstitution with water or other suitable vehicle before use.
• formulations of the composition may be in the form of suspensions, solutions, emulsions, or syrups, or may be lyophilized or presented as a dry product for reconstitution with water or other suitable vehicle before use.
• compositions for administration to the mouth may be presented as a mouthwash, or an oral spray, or an oral ointment.
• Wetting agents, emulsifiers and lubricants, such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the compositions.
• Such liquid compositions may optionally contain: pharmaceutically-acceptable excipients such as suspending agents (for example, sorbitol, methyl cellulose, sodium alginate, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminum stearate gel and the like); non-aqueous vehicles, e.g., oil (for example, almond oil or fractionated coconut oil), propylene glycol, ethyl alcohol, or water; preservatives (for example, methyl or propyl p-hydroxybenzoate or sorbic acid);
• suspending agents for example, sorbitol, methyl cellulose, sodium alginate, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminum stearate gel and the like
• non-aqueous vehicles e.g., oil (for example, almond oil or fractionated coconut oil), propylene glycol, ethyl alcohol, or water
• preservatives for example, methyl or propyl p-hydroxybenzoate or sorb
• wetting agents such as lecithin
• flavoring or coloring agents if desired, flavoring or coloring agents.
• antioxidants examples include: (1) water-soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal-chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid, and the like.
• water-soluble antioxidants such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like
• oil-soluble antioxidants such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), le
• the agents of the application may be provided in sterile aqueous solutions or suspensions, buffered to an appropriate pH and isotonicity or in parenterally acceptable oil.
• Suitable aqueous vehicles include Ringer's solution and isotonic sodium chloride.
• Such forms may be presented in unit-dose form such as ampoules or disposable injection devices, in multi-dose forms such as vials from which the appropriate dose may be withdrawn, or in a solid form or pre-concentrate that can be used to prepare an injectable formulation.
• Illustrative infusion doses range from about 1 to 1000 ⁇ g/kg/minute of agent admixed with a pharmaceutical carrier over a period ranging from several minutes to several days.
• Formulations which are suitable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such carriers as are known in the art to be appropriate.
• compositions can be formulated for delivery via a catheter, stent, wire, or other intraluminal device. Delivery via such devices may be especially useful for delivery to the bladder, urethra, ureter, rectum, or intestine.
• the compounds of the present application are preferably formulated as creams or ointments or a similar vehicle suitable for topical administration.
• the inventive compounds may be mixed with a pharmaceutical carrier at a concentration of about 0.1% to about 10% of drug to vehicle.
• Another mode of administering the agents of the application may utilize a patch formulation to effect transdermal delivery.
• Dosage forms for the topical or transdermal administration include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants.
• the active compound may be mixed under sterile conditions with a pharmaceutically acceptable carrier, and with any
• the ointments, pastes, creams and gels may contain, in addition to an active compound, excipients, such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
• excipients such as animal and vegetable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
• Powders and sprays can contain, in addition to an active compound, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances.
• Sprays can additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.
• Transdermal patches have the added advantage of providing controlled delivery of a compound of the present application to the body.
• dosage forms can be made by dissolving or dispersing the active compound in the proper medium.
• Absorption enhancers can also be used to increase the flux of the compound across the skin. The rate of such flux can be controlled by either providing a rate controlling membrane or dispersing the compound in a polymer matrix or gel.
• Ophthalmic formulations are also provided.
• eye ointments are also provided.
• powders, solutions and the like are also provided.
• liquid ophthalmic formulations have properties similar to that of lacrimal fluids, aqueous humor or vitreous humor or are compatible with such fluids.
• a preferred route of administration is local administration (e.g., topical administration, such as eye drops, or administration via an implant).
• the compounds of the application are effective over a wide dosage range.
• dosages from about 0.05 to about 5000 mg, preferably from about 1 to about 2000 mg, and more preferably between about 2 and about 2000 mg per day can be used.
• a typical dosage is about 10 mg to about 1000 mg per day, or 25 to 200 mg per day, or 50 to 100 mg per day, or less than 100 mg per day.
• it can frequently be necessary to begin with a higher dosage and when the condition is under control to reduce the dosage.
• the exact dosage will depend upon the activity of the compound, mode of administration, on the therapy desired, form in which administered, the subject to be treated and the body weight of the subject to be treated, and the preference and experience of the physician or veterinarian in charge.
• the compounds of the application are dispensed in unit dosage form including from about 0.05 mg to about 1000 mg of active ingredient together with a pharmaceutically acceptable carrier per unit dosage.
• a unit dosage form includes from about 10 to about 200 mg of active ingredient.
• dosage forms suitable for oral, nasal, pulmonal or transdermal administration include from about 125 ⁇ g to about 1250 mg, preferably from about 250 ⁇ g to about 500 mg, and more preferably from about 2.5 mg to about 250 mg, of the compounds admixed with a pharmaceutically acceptable carrier or diluent.
• Dosage forms can be administered daily or more than once a day, such as twice or thrice daily. Alternatively dosage forms can be administered less frequently than daily, such as every other day, or weekly, if found to be advisable by a prescribing physician. In some embodiments, dosage forms are administered once or twice daily.
• the dose may be adjusted for maintenance treatment. For example, the dosage or the frequency of administration, or both, may be reduced as a function of the symptoms, to a level at which the desired therapeutic or prophylactic effect is maintained. Of course, if symptoms have been alleviated to an appropriate level, treatment may cease. Patients may, however, require intermittent treatment on a long-term basis upon any recurrence of symptoms. Patients may also require chronic treatment on a long-term basis.
• treat or “treatment” includes “curative” treatment.
• Treatment is meant to include reducing the severity of or suppressing the worsening of an existing disease, symptom, or condition.
• treatment includes ameliorating or preventing the worsening of existing disease symptoms, preventing additional symptoms from occurring, ameliorating or preventing the underlying systemic causes of symptoms, inhibiting the disorder or disease, e.g., arresting the development of the disorder or disease, relieving the disorder or disease, causing regression of the disorder or disease, relieving a condition caused by the disease or disorder, or stopping the symptoms of the disease or disorder.
• an "effective amount” refers to an amount or dose sufficient to generally bring about the desired therapeutic benefit or an amount sufficient to modulate the biological activity of the target receptor in subjects needing such treatment.
• Effective amounts or doses of the compounds of the application may be ascertained by routine methods, such as modeling, dose escalation, or clinical trials, taking into account routine factors, e.g., the mode or route of administration or drug delivery, the pharmacokinetics of the agent, the severity and course of the infection, the subject's health status, condition, and weight, and the judgment of the treating physician.
• An exemplary dose is in the range of about from about 0.1 mg to about 2 g daily, or about 1 mg to about 1 g daily, or about 1 mg to about 50 mg daily, or about 10 mg to about 50 mg daily, or about 50 to about 250 mg daily, or about 250 mg to about 1 g daily.
• the total dosage may be given in single or divided dosage units (e.g., BID, TID, QID).
• compounds of the application can be used to modulate, such as to activate (agonist), or to block activation of (antagonist), an orexin receptor.
• the application provides a method of modulating an orexin receptor comprising contacting the receptor with an effective amount or concentration of a compound of the application.
• the orexin receptor can be OXi or OX 2 .
• the compound of the application is an antagonist of an orexin receptor such as OXi or OX 2 , or both, and can be a selective inhibitor of one or the other.
• contacting can take place in vivo within tissues of a patient, such as a human patient.
• modulation of an orexin receptor, for example, antagonism of orexin- 1, by a compound of the application can be used to treat a disease, disorder, or medical condition in a patient, as described herein.
• the application provides a method of treating a disease, disorder, or medical condition in a patient wherein modulation of an orexin receptor is medically indicating, comprising administering to the subject, such as a patient, a compound of the application in a dose, at a frequency, and for duration to provide a beneficial effect to the subject.
• Modulation, such as agonism or antagonism, of an orexin receptor can be medically indicated in treatment of a disease, disorder, or medical condition wherein the orexin receptor plays a metabolic or regulatory role.
• Certain such conditions can be treated by selective modulation of a single class of orexin receptor, such as modulation of OXi while OX 2 is not influenced by administration of the compound of the application at the dose provided.
• compounds of the application can be orexin-1
• the compound of the application can be a selective modulator, e.g., an antagonist, of orexin receptor OXi.
• the compound of the application can be a selective modulator (e.g., antagonist) of an orexin receptor OX 2 .
• the compound of the application can further modulate other types or classes of receptors having affinity for one of more forms of the orexin class of natural peptidic ligands.
• the application provides a use of a compound of the application for treatment of a disease, disorder, or medical condition in a patient.
• a compound of the application can be used in the preparation of a medicament for administration to a patient suffering from a disease, disorder, or medical condition.
• the disease, disorder, or medical condition can comprise an eating disorder, obesity, alcoholism or an alcohol-related disorder, drug abuse or addiction, a sleep disorder, a cognitive dysfunction in a psychiatric or neurologic disorder, depression, anxiety, panic disorder, schizophrenia, Alzheimer's disease, Parkinson's disease, Huntington's chorea, headache, migraine, pain, gastrointestinal diseases, epilepsy, inflammations, immune-related diseases, endocrine-related diseases, cancer, hypertension, behavior disorder, mood disorder, manic depression, dementia, sex disorder, psychosexual disorder, and renal disease.
• Drug or substance abuse or addiction includes relapse. These may include abuse of or addiction to cocaine, opiates, amphetamines, nicotine, alcohol, cannabis, heroin, and/or any other drug of abuse.
• the disease, disorder, or medical condition is narcolepsy, insomnia, learning disorders, memory disorders, depression, anxiety, addiction, obsessive compulsive disorder, affective neurosis, depressive neurosis, anxiety neurosis, dysthymic disorder, behavior disorder, mood disorder, sexual dysfunction, psychosexual dysfunction, sex disorder, schizophrenia, manic depression, delirium, dementia, severe mental retardation or dyskinesias (such as Huntington's Disease or Tourette Syndrome), eating disorders (such as anorexia, bulimia, cachexia, or obesity), addictive feeding behaviors, binge/purge feeding behaviors, cardiovascular diseases, diabetes, appetite/taste disorders, emesis, vomiting, nausea, asthma, cancer, Parkinson's Disease, Cushing's Syndrome/Disease, basophile adenoma, prolactinoma, hyperprolactinemia, hypophysis tumor/adenoma, hypothalamic diseases, inflammatory bowel disease, gastric dyskinesia, gastric ulcers, Fr
• hypothalamic hypogonadism Kallman's syndrome (anosmia, hyposmia), functional or psychogenic amenorrhea, hypopituitarism, hypothalamic hypothyroidism, hypothalamic-adrenal dysfunction, idiopathic hyperprolactinemia, hypothalamic disorders of growth hormone deficiency, idiopathic growth deficiency, dwarfism, gigantism, acromegaly, disturbed biological and circadian rhythms, sleep disturbances associated with disease such as neurological disorders, neuropathic pain, diabetic neuropathy, and restless leg syndrome, heart and lung diseases, acute and congestive heart failure, hypotension, hypertension, urinary retention, osteoporosis, angina pectoris, myocardial infarction, ischemic or hemorrhagi
• the compounds described herein are useful in a method of treating disorders including, but not limited to, sleep disorders, sleep disturbances, including enhancing sleep quality, improving sleep quality, increasing sleep efficiency, augmenting sleep maintenance; increasing the ratio of the time that a subject sleeps relative to the time that a subject is attempting to sleep; improving sleep initiation; decreasing sleep latency or onset (the time it takes to fall asleep); decreasing difficulties in falling asleep; increasing sleep continuity; decreasing the number of awakenings during sleep; decreasing intermittent wakings during sleep; decreasing nocturnal arousals; decreasing the time spent awake following the initial onset of sleep; increasing the total amount of sleep; reducing the fragmentation of sleep; altering the timing, frequency, or duration of REM sleep bouts;
• insomnia hypersomnia, idiopathic hypersomnia, repeatability hypersomnia, intrinsic hypersomnia, narcolepsy, interrupted sleep, sleep apnea, wakefulness, nocturnal myoclonus, REM sleep interruptions, jet-lag, shift workers' sleep disturbances, dyssomnias, night terror, insomnias associated with depression, emotional/mood disorders, Alzheimer's disease, or cognitive impairment, as well as sleep walking and enuresis, and sleep disorders that accompany aging; Alzheimer's sundowning; conditions associated with circadian rhythmicity as well as mental and physical disorders associated with travel across time zones and with rotating shift- work schedules, conditions due to drugs that cause reductions in REM sleep as
• lymphoblastic leukemia lymphoblastic leukemia
• metabolic syndrome also known as syndrome X
• reproductive hormone abnormalities sexual and reproductive dysfunction, such as impaired fertility, infertility, hypogonadism in males and hirsutism in females, fetal defects associated with maternal obesity, gastrointestinal motility disorders, such as obesity-related gastro-esophageal reflux, respiratory disorders, such as obesity-hypoventilation syndrome (Pickwickian syndrome), breathlessness, cardiovascular disorders, inflammation, such as systemic inflammation of the vasculature, arteriosclerosis, hypercholesterolemia,
• hyperuricaemia lower back pain, gallbladder disease, gout, kidney cancer, increased anesthetic risk, reducing the risk of secondary outcomes of obesity, such as reducing the risk of left ventricular hypertrophy; diseases or disorders where abnormal oscillatory activity occurs in the brain, including depression, migraine, neuropathic pain, Parkinson's disease, psychosis, or schizophrenia, as well as diseases or disorders where there is abnormal coupling of activity, particularly through the thalamus; enhancing cognitive function; enhancing memory; increasing memory retention; increasing immune response; increasing immune function; hot flashes; night sweats; extending life span; schizophrenia; muscle-related disorders that are controlled by the excitation/relaxation rhythms imposed by the neural system such as cardiac rhythm and other disorders of the cardiovascular system; conditions related to proliferation of cells such as vasodilation or vasorestriction and blood pressure; cancer; cardiac arrhythmia; hypertension; congestive heart failure; conditions of the genital/urinary system; disorders of sexual function and fertility; adequacy of renal function;
• idiopathic and drug-induced Parkinson's disease idiopathic and drug-induced Parkinson's disease
• muscular spasms and disorders associated with muscular spasticity including tremors, epilepsy, convulsions;
• cognitive disorders including dementia (associated with Alzheimer's disease, ischemia, trauma, vascular problems or stroke, HIV disease, Parkinson's disease, Huntington's disease, Pick's disease, Creutzfeldt- Jacob disease, perinatal hypoxia, other general medical conditions or substance abuse); delirium, amnestic disorders or age related cognitive decline;
• schizophrenia or psychosis including schizophrenia (paranoid, disorganized, catatonic or undifferentiated), schizophreniform disorder, schizoaffective disorder, delusional disorder, brief psychotic disorder, shared psychotic disorder, psychotic disorder due to a general medical condition and substance-induced psychotic disorder; substance-related disorders and addictive behaviors (including substance-induced delirium, persisting dementia, persisting amnestic disorder, psychotic disorder or anxiety disorder; tolerance, addictive feeding, dependence or withdrawal from substances including alcohol, amphetamines, cannabis, cocaine, hallucinogens, inhalants, nicotine, opioids, phencyclidine, sedatives, hypnotics, or anxiolytics); movement disorders, including akinesias and akinetic-rigid syndromes
• Parkinson's disease including Parkinson's disease, drug-induced parkinsonism, postencephalitic parkinsonism, progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, parkinsonism- ALS dementia complex and basal ganglia calcification
• chronic fatigue syndrome including Parkinson's fatigue, multiple sclerosis fatigue, fatigue caused by a sleep disorder or a circadian rhythm disorder, medication-induced parkinsonism (such as neuroleptic-induced parkinsonism, neuroleptic malignant syndrome, neuroleptic-induced acute dystonia, neuroleptic-induced acute akathisia, neuroleptic-induced tardive dyskinesia and medication-induced postural tremor), Gilles de la Tourette's syndrome, epilepsy, and dyskinesias including tremor (such as rest tremor, essential tremor, postural tremor and intention tremor), chorea (such as Sydenham's chorea, Huntington's disease, benign hereditary chorea, neuroacanthocyto
• schizophrenia including generalized anxiety disorder, panic disorder, and obsessive compulsive disorder
• mood disorders including depression, mania, bipolar disorders
• retinopathy macular degeneration of the eye; emesis; brain edema; pain, including acute and chronic pain states, severe pain, intractable pain, inflammatory pain, neuropathic pain, posttraumatic pain, bone and joint pain (osteoarthritis), repetitive motion pain, dental pain, cancer pain, myofascial pain (muscular injury, fibromyalgia), perioperative pain (general surgery, gynecological), chronic pain, neuropathic pain, post-traumatic pain, trigeminal neuralgia, migraine and migraine headache.
• the disease, disorder, or medical condition is an eating disorder, obesity, alcoholism or an alcohol-related disorder, drug abuse or addiction, a sleep disorder, a cognitive dysfunction in a psychiatric or neurologic disorder, depression, anxiety, panic disorder, schizophrenia, Alzheimer's disease, Parkinson's disease, Huntington's chorea, headache, migraine, pain, gastrointestinal diseases, epilepsy, inflammations, immune- related diseases, ulcers, irritable bowel syndrome, diarrhea, gastroesophageal reflux, endocrine-related diseases, cancer, hypertension, behavior disorder, mood disorder, manic depression, dementia, sex disorder, psychosexual disorder, and renal disease.
• the disease, disorder, or medical condition is substance addiction (including relapse), panic disorder, anxiety, post-traumatic stress disorder, pain, depression, seasonal affective disorder, an eating disorder, or hypertension.
• the present application provides methods for:
• antagonism of orexin-1 is medically indicated for the treatment of the above-listed conditions.
• antagonism is meant blocking a receptor, in this case an orexin receptor, without causing it to transduce a signal. That is, antagonism results in blocking an endogenous or exogenous ligand from activating, or causing antagonism, of the receptor.
• Any compound found to be an effective modulator, agonist or antagonist can likewise be tested in animal models and in human clinical studies using the skill and experience of the investigator to guide the selection of dosages and treatment regimens.
• the application comprises a method for conducting a pharmaceutical business, by determining an appropriate formulation and dosage of a compound of the application for treating or preventing any of the diseases or conditions as described herein, conducting therapeutic profiling of identified formulations for efficacy and toxicity in animals, and providing a distribution network for selling an identified preparation as having an acceptable therapeutic profile.
• the method further includes providing a sales group for marketing the preparation to healthcare providers.
• the application relates to a method for conducting a pharmaceutical business by determining an appropriate formulation and dosage of a compound of the application for treating or preventing any of the disease or conditions as described herein, and licensing, to a third party, the rights for further development and sale of the formulation.
• the term "healthcare providers” refers to individuals or organizations that provide healthcare services to a person, community, etc. Examples of “healthcare providers” include doctors, hospitals, continuing care retirement communities, skilled nursing facilities, subacute care facilities, clinics, multispecialty clinics, freestanding ambulatory centers, home health agencies, and HMO's.
• inventive compounds described herein may be used in pharmaceutical compositions or methods in combination with one or more additional active ingredients in the treatment of the diseases and disorders described herein.
• additional active ingredients include other therapeutics or agents that mitigate adverse effects of therapies for the intended disease targets. Such combinations may serve to increase efficacy, ameliorate other disease symptoms, decrease one or more side effects, or decrease the required dose of an inventive compound.
• the additional active ingredients may be administered in a separate
• compositions from a compound of the present application may be included with a compound of the present application in a single pharmaceutical composition.
• the additional active ingredients may be administered simultaneously with, prior to, or after administration of a compound of the present application.
• Actual dosage levels of the active ingredients in the pharmaceutical compositions may be varied so as to obtain an amount of the active ingredient that is effective to achieve the desired therapeutic response for a particular subject, such as a patient, composition, and mode of administration, without being toxic to the subject.
• Combination agents include additional active ingredients are those that are known or discovered to be effective in treating the diseases and disorders described herein, including those active against another target associated with the disease.
• compositions and formulations of the application, as well as methods of treatment can further comprise other drugs or pharmaceuticals, e.g., other active agents useful for treating or palliative for the target diseases or related symptoms or conditions.
• additional active ingredients include those that are known to be useful for enhancing sleep quality and preventing and treating sleep disorders and sleep disturbances, anti-diabetic agents, cardiovascular therapies, anti-obesity agents, other orexin receptor antagonists, pain medications, anti-depressants, anti-anxiety agents, cognition-enhancing agents, anti- Alzheimer's Disease therapies, and other active ingredients.
• Exemplary active pharmaceutical ingredients and other therapies that are suitable for combination with the presently described compounds include those listed in PCT Publ. No. WO2008/147518 at pages 23-29, which is hereby incorporated by reference.
• the pharmaceutical compositions of the any compound described herein may additional comprise one or more of such active agents, and methods of treatment may additionally comprise administering an effective amount of one or more of such active agents.
• CDI 1 l'-carbonyldiimidazole
• LiHMDS lithium bis(trimethylsilyl)amide
• the compound was prepared by General Method A using Compound (m) (68 mg, 0.25 mmol) and 2-chloro-5-(trifluoromethyl)pyrimidine (68 mg, 0.38 mmol).
• the crude was purified by column chromatography (silica gel, petroleum ether/ethyl acetate: 5/1) to give the product Compound (n) (45 mg, 0.11 mmol, 44%) as a yellow oil.
• the compound was prepared by General Method A using Compound (m) (140 mg, 0.52 mmol) and 2,5-dichloropyrimidine (114 mg, 0.78 mmol).
• the crude was purified by column chromatography (silica gel, petroleum ether/ethyl acetate: 10/1) to give the product
• Step 1 5-Fluoro-3-methyl-2-nitrobenzoic acid.
• 3-Fluoro-5-methylbenzoic acid (4 g, 25.96 mmol) and K 0 3 (2.884 g, 28.556 mmol) were dissolved in cone.
• H 2 S0 4 (32 mL) at 0 °C. The mixture was stirred at rt for 1 h. Water (60 mL) was added, and the resulting precipitate was filtered and dried to provide the title compound, which was used without further purification.
• Step 3 A 0 °C solution of 2-amino-5-fluoro-3-methylbenzoic acid (1.5 g, 6.118 mmol) in cone. H 2 S0 4 (4 mL) and water (10 mL) was stirred for 10 min, and then a solution of NaN0 2 (0.55 g, 7.95 mmol) in water (1 mL) was added slowly. After 1 h, a solution of KI (5.1 g, 30.6 mmol) in water (6 mL) was added. After 16 h at rt, the reaction mixture was extracted with EtOAc, and the combined organic layers were washed with satd. aq. Na 2 S 2 0 3 (aq) and brine, dried over MgS0 4 , and cocnentrated to provide the title compound. ESI-MS (m/z): 281 [M+l] + .
• Step 1 3,5-Difluoro-2-iodobenzoic acid.
• the title compound was prepared from 3,5- difluorobenzoic acid as described for Compound (v).
• Step 2 The title compound was prepared from 3,5-difluoro-2-iodobenzoic acid and 1,2,3- triazole as described for Compound (t). ESI-MS (m/z): 226 [M+l] + .
• Step 1 3,6-Difluoro-2-iodobenzoic acid.
• THF 200 mL
• BuLi 40 mL, 2.5 M, 0.1 mol
• the reaction was quenched with solid C0 2 .
• the reaction was allowed to warm to rt and was concentrated.
• Step 1 Methyl 6-bromo-2,3-difluorobenzoate.
• Step 2 Methyl 2,3-difluoro-6-(4,4,5,5-tetramethyl-l,3,2-dioxaborolan-2-yl)benzoate.
• Step 3 Methyl 2,3-difluoro-6-(pyrimidin-2-yl)benzoate.
• a stirred suspension of methyl 2,3- difluoro-6-(4,4,5,5-tetramethyl-l,3,2-dioxaborolan-2-yl)benzoate, 2-chloropyrimidine, PdCl 2 (dppf), and K 2 C0 3 in 1,4-dioxane and water (3: 1, v/v) was heated at 90 °C under nitrogen for 18 h.
• the reaction mixture was cooled to rt and concentrated under reduced pressure.
• the resulting residue was directly purified by flash column chromatography on silica gel eluting with 0%> to 50%> EtOAc/hexanes to give the title compound.
• Step 4 A solution of methyl 2,3-difluoro-6-(pyrimidin-2-yl)benzoate in 2 N NaOH and water was heated at reflux for 4 h. The reaction mixture was cooled to rt and concentrated to half volume under reduced pressure. The resulting mixture was acidified to pH 4 with 1 N HC1 and extracted with EtOAc. The combined extracts were dried over anhydrous Na 2 S0 4 , filtered, and concentrated under reduced pressure. The residue was dried under high vacuum to give the title compound. ESI MS (M+H) 237. Compound (z): 4-Methyl-2-(pyrimidin-2-yl)benzoic acid
• Step 1 (Z)-N-(5-Fluoro-2-methylphenyl)-2-(hydroxyimino)acetamide.
• a -10 °C mixture of 5-fiuoro-2-methylaniline (10 g, 80 mmol) and NaHC0 3 (67 g, 800 mmol) in CH 2 C1 2 (200 mL) was treated dropwise with a solution of freshly distilled 2,2-diacetoxyacetyl chloride (20 g, 103 mmol). The mixture was allowed to warm to rt. When TLC indicated consumption of the aniline, the solid was removed by filtration, washed with CH 2 C1 2 , and the filtrate was concentrated.
• Hydroxylamine hydrochloride 28 g, 400 mmol was dissolved in a mixture of ethanol (200 mL) and water (100 mL), and the solution was then added to the crude diacetates. The mixture was heated at reflux for 2 h, cooled to rt, and concentrated until precipitation commenced. Water was then added to precipitate additional product. The solid was collected by filtration and washed with water to yield the title compound (7.22 g, 46%).
• Step 2 4-Fluoro-7-methylindoline-2,3-dione.
• Step 4 6-Fluoro-2-iodo-3-methylbenzoic acid.
• a solution of 2-amino-6-fluoro-3- methylbenzoic acid in 7.5 mL of H 2 SO 4 and 15 mL of H 2 0 was stirred for 30 min.
• the resultant suspension was cooled to 0 °C, and treated dropwise with a solution of NaN0 2 (1.06 g, 11.8 mmol) in 2 mL of H 2 0.
• the mixture was treated slowly with a solution of KI (9.8 g, 59 mmol) in 10 mL of H 2 0.
• the resulting mixture was stirred vigorously at rt overnight, diluted with water and extracted with EtOAc.
• the combined extracts were washed with brine, aq. Na 2 S 2 0 3 , and water, dried over Na 2 S0 4 , and
• Step 1 5-Fluorobenzord1oxazole-2-thiol.
• a mixture of 2-amino-4-fluorophenol (1 g, 7.9 mmol) and ethylxanthic acid potassium salt (1.3 g, 7.9 mmol) in EtOH (10 mL) was heated at reflux for 7 h.
• the mixture was cooled to rt and concentrated in vacuo.
• the crude was dissolved in water and adjusted to pH 5 with acetic acid.
• the product was filtered to obtain the title compound, which was used without further purification.
• Step 2 A mixture of 5-fluorobenzo[d]oxazole-2-thiol (300 mg, 1.7 mmol) in thionyl chloride (6 mL) and 2 drops of DMF were heated at 70 °C for 3 h. The mixture was cooled to rt and concentrated in vacuo. The crude was dissolved in EtOAc and filtered through silica gel. The filtrate was concentrated to obtain the title compound, which was used without further purification.
• Examples include treatment with phthalimide under Mitsunobu conditions and activation as the tosylate and displacement with an azido anion.
• a phthalimide or azide is introduced, such groups are then reduced or cleaved to the corresponding primary amine group using, for example, hydrazine or triphenylphosphine, to generate amines A3.
• the A3 amino group is then be reacted with R ⁇ -LG, where R 1 is a heteroaryl group and LG is a suitably positioned leaving group such as chloro, in the presence of a suitable base such as K 2 CO 3 , to yield amino-alcohols A4.
• R 1 is phenyl or a heteroaryl without an activated leaving group
• the primary amine is coupled with R 1 through metal-mediated procedures (e.g. , Buchwald or Ulmann couplings) known to those skilled in the art.
• Oxidation of the secondary alcohol using a suitable reagent such as Dess-Martin periodinane, potassium dichromate, or Swern oxidation yields a ketone, which is perfluorinated using a suitable fluorinating agent such as diethylaminosulfur trifluoride (DAST) or bis(2- methoxyethyl)aminosulfur trifluoride, to generate compounds of Formula (I) where X is NR 4 , wherein R 4 is H.
• DAST diethylaminosulfur trifluoride
• R 4 bis(2- methoxyethyl)aminosulfur trifluoride
• Step 1 (2S,3S)-l-(tert-Butoxycarbonyl)-3-hvdroxypyrrolidine-2-carboxylic acid.
• (2S,3S)-3-hydroxypyrrolidine-2-carboxylic acid (3.0 g, 23 mmol) in dioxane/H 2 0 (40 mL/20 mL) was added sodium hydroxide (1.83 g, 46 mmol), followed by the dropwise addition of di-tert-butyl dicarbonate (9.49 g, 43 mmol) in dioxane (15 mL).
• the reaction mixture was stirred at room temperature (rt) for 2 h.
• Step 3 (5-(4-Fluorophenvn-2-methylthiazol-4-vn((2R,3S -3-hvdroxy-2- (hydroxymethvOpyrrolidin- 1 -vDmethanone.
• triphenylphosphine (1.08 g, 4.11 mmol) in THF (10 mL) was added diisopropyl
• Step 5 ((2R,3 S)-2-(Aminomethyl)-3 -hydroxypyrrolidin- 1 -yl)(5 -(4-fluorophenyl)-2- methylthiazol-4-yl)methanone.
• Step 6 (5-(4-Fluorophenvn-2-methylthiazol-4-vn((2R,3S -3-hvdroxy-2-(((5- (trifluoromethyl)pyrimidin-2-yl)amino)methyl)pyrrolidin-l-yl)methanone.
• Step 7 (R)- 1 -(5-(4-Fluorophenvn-2-methylthiazole-4-carbonvn-2-(((5-
• Step 8 To a 0 °C solution of (R)-l-(5-(4-fluorophenyl)-2-methylthiazole-4-carbonyl)-2-(((5- (trifluoromethyl)pyrimidin-2-yl)amino)methyl)pyrrolidin-3-one (20 mg, 42 ⁇ ) in CH 2 C1 2 (1 mL) was added bis(2-methoxyethyl)aminosulfur trifluoride (15 ⁇ , 83 ⁇ ), and the resulting mixture was stirred at rt for 2 d. The mixture was cooled to 0 °C, treated with with 1 mL of satd. aq. NaHC0 3 , diluted with CH 2 C1 2 , washed with water and brine, dried
• Step 1 (R)-(33-difluoro-2-(((5-(trifluoromethyl)pyrimidin-2-yl)amino)methyl)pyrrolidm yl)(5-fluoro-2-iodophenyl)methanone
• Step 2 (R)-(3 ,3 -difluoro-2-(((5 -(trifluoromethyl)pyrimidin-2-yl)amino)methyl)pyrrolidin- 1 - yl)(5-fluoro-2-(pyrimidin-2-yl)phenyl)methanone.
• Step 1 (R)-(3,3-difluoropyrrolidin-2-yl)methan l
• Step 2 (R)-(3,3-difluoro-2-(hydroxymethyl)pyrrolidin-l-yl)(5-methyl-2-(2H-l,2,3-triazol-2- vDphenvDmethanone
• Step 3 (R)-(3 ,3 -difluoro-2-((5 -(trifluoromethyl)pyridin-2-yloxy)methyl)pyrrolidin- 1 -yl)(5 - methyl-2-(2H-l,2,3-triazol-2-yl)phenyl)methanone.
• the alcohol (1.0 eq) obtained from Step 2 was dissolved in anhydrous DMF and cooled at ice-bath. NaH (60%, 3.0eq) was added. The mixture was stirred for lh at RT and then 2-fluoro-5-(trifluoromethyl)pyridine (1.5 eq) was added. The mixture was stirred overnight at RT.
• the compound was prepared by General Method C using compound Compound (r) (25 mg, 0.10 mmol) and acid 5-Fluoro-2-(2H-l,2,3-triazol-2-yl)benzoic acid (23 mg, 0.11 mmol).
• the crude was purified by column chromatography (silica gel, petroleum ether/ethyl acetate: 5/1) to afford the target Compound 64 (25 mg, 0.057 mmol, 56%) as a yellow oil.
• Compound 70 (R)-(3-(2H-l,2,3-triazol-2-yl)pyridin-2-yl)(2-((5-chloropyrimidin- 2-ylamino)methyl)-3,3-difluoropyrrolidin-l-yl)methanone
• CHO-OXi or CHO-OX 2 cells were seeded into black-walled clear-base 384-well plates (Corning, catalog #3712) at a density of 20,000 cells per well in F12-K medium supplemented with 10% FBS and then incubated in a 5% C02, 37 C incubator overnight to reach 90%> confluency.
• the cells were incubated with equal volume of calcium6 loading buffer (Molecular Devices, Inc.) containing 2.5 mM probenecid at 37 °C for 2 h, followed by test compounds (dose-range 0.1 nM - 10 ⁇ ) for another 30 min.
• Table 2 IC 50 Bioactivity of Exemplary Compounds of the Application with Respect to OXi and OX 2 .
• rats weighing 250-300 g are housed in groups of 1-23 per cage, in a temperature-controlled vivarium under a reversed 12-h light/dark cycle (lights off at 8 am). Food and water are provided ad libitum until behavioral training commences. During training, rats are food-restricted to maintain -85-90% of their free-feeding body weight. Behavioral testing occurs during the dark portion of the light/dark cycle between the hours of 9 am-1 pm, during the early portion of the dark phase of the cycle. All procedures are conducted in strict adherence with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and are approved by the Institutional Animal Care and Use
• Rats are anesthetized by inhalation of 1-3% isoflurane in oxygen and silastic catheters are inserted into the jugular veins.
• the catheters consist of a 14 cm length of silastic tubing fitted to a guide cannula (Plastics One, Wallingford, CT), bent at a curved right angle and encased in dental acrylic.
• the catheter tubing is passed subcutaneous ly from each animal's back to the right jugular vein, and 1 cm length of the catheter tip is inserted into the vein.
• catheters are flushed daily with 0.1 mL of a heparinized (30 USP units/ml) sterile saline solution.
• rats are mildly food restricted to 85-90%) of their free-feeding body weight and trained to press a lever in an operant chamber (Med Associates, St. Albans, VT) for food pellets (20 mg; TestDiet, Richmond, IN) under a fixed-ratio 5, time out 20 s (FR5TO20 s) schedule of reinforcement prior to catheter implantation.
• FR5TO20 s time out 20 s
• rats are permitted to acquire IV nicotine self-administration by autoshaping during 1-h daily sessions, 7 days per week. Nicotine is delivered through the tubing into the IV catheter by a Razel syringe pump (Med Associates). Each nicotine self- administration session is performed using two retractable levers (1 active; 1 inactive).
• Completion of the response criteria on the active lever results in the delivery of an IV nicotine infusion (0.03 mg/kg/infusion). After 1 week, the nicotine dose is increased to 0.1 mg/kg/inf for the remainder of the experiment, including subsequent training and test sessions. Delivery of all nicotine infusions coincides with the initiation of a 20-s time-out (TO) period, signaled by a light cue located above the lever. During the TO period, responding on the lever is recorded but without scheduled consequence. Catheter integrity is tested with the ultrashort-acting barbiturate Brevital (methohexital sodium; Eli Lilly) at the end of the experiment.
• TO time-out

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